Region 15 Regional Healthcare Partnership 33Rd Public Meeting WEDNESDAY, JUNE 24, 2015 UNIVERSITY MEDICAL CENTER OF EL PASO ANCHOR HOSPITAL

Confirmation of Participants Roll Call

M&S 3 Year Projects and Cat 3 Baseline Validation Meyers & Stauffer has started to review information reported for 3 year projects that did not have any information reported in April of 2014. Be aware that Meyers & Stauffer may contact providers with additional questions regarding any of the 3-year project that reported in October. Additional questions for 3 year projects will be coming in the near future. Category 3 Baseline Validation is underway with Myers & Stauffer

Myers & Stauffer Mid Point Assessment Final Results 1115 Texas Waiver Results 6 Compliance Elements Compliance with the Approved RHP Plan 57 Projects did not conduct activities as described in the narratives 2. Compliance with Core Components including CQI 9 Projects did not perform core component activities 3. Ensuring activities funded through DSRIP do not overlap with Federal Funded Initiatives No instances of ‘double dipping’ found 4. Clarity of 4th and 5th year improvement milestones 255 Projects had milestones that did not relate to project activities or unclear measurements 5. The benefit of DSRIP projects to the patients served including Medicaid and Uninsured 39 Projects had not yet started serving patients 6. Identifying lessons learned for DSRIP project improvement 30 Projects did not identify lessons learned Myers & Stauffer Mid Point Assessment Final Results

Myers & Stauffer Mid Point Assessment Final Results RHP 15 Results (59 projects, $380,598,629) Ranking assigned 1-5, with 1 as the top rank Most of our projects fell into rank 2-3 category 4 projects fell into the high risk category: 065086301.1.2, 084597603.1.4, 094109802.1.1, 127376505.2.2 No projects were recommended for withdrawal. M&S did recommend several project to be withdrawn from other regions 1 Project was highlighted as a benchmark project: 094109802.2.1 Myers & Stauffer Mid Point Assessment Final Results

Statewide Learning collaborative summit The Summit will be webcast for the public August 27th and 28th Invitations to Attend Include: 10-19 projects = 2 invitations Anchor – 2 UMC – 2 Tenet – 1 HCA – 1 Health Dept. – 1 EHN – 1 Texas Tech - 1 Children's Hospital - 1

April Reporting June 10th results received July 2nd submit responses to NMIs Aug7th approve or deny NMIs July 8th IGT Due Monitoring Fees for IGT Entities also due July 21st and 31st payments processed to providers April Reporting

Compliance monitoring New Component to the Waiver Validation of Reported Information Validating Cat 1/2 Metric Data as well as Cat 3 and Cat 4 Data reported Baselines and Achievement This Process is still in Development Stay Tuned! Compliance monitoring

Stakeholder INPUT for Waiver Extension Preliminary Survey is already posted on Website Another Survey will be posted in July once the draft Formal Renewal Document is posted HHSC will hold a DSRIP protocol webinar in August and discuss protocol changes at the August 27-28 Statewide Learning Collaborative Summit tailored to the summit audience. HHSC will be here July 22 for a Public Meeting regarding the Waiver Extension/Renewal document 1 PM – 4 PM El Paso First Health Plans

DSRIP Statewide events calendar RHP Date Topic Contact 4 5/19 RHP 4 Learning Collaborative Event Jonny Hipp (jonny.hipp@nchdcc.org) 9 & 10 5/27-28 Learning Collaborative Event: Collaborative Connections - Impacting Care RHP 9: Margie Roche margaret.roche@phhs.org RHP 10: Meredith Oney RHP_Region_10@jpshealth.org 9 6/10 PDSA Raise the Floor Webinar #2 Register Here Margie Roche Margaret.roche@phhs.org 10 6/11 Webinar - Behavioral Health: Developing an Information Infrastructure that Supports Integrated Care Tasks Meredith Oney (RHP_Region_10@jpshealth.org) Webinar - Care Transitions: Care Coordination (Part 2) 3 6/17 RHP 3 Learning Collaborative Nicole Lievsay Nicole.Lievsay@harrishealth.org 7/9 Webinar - Care Transitions: HIE Integration 7/16 Webinar - Behavioral Health: Documentation and Information Sharing 2 7/17 Category 3 Work Session Susan Seidensticker (smseiden@utmb.edu) 6 7/20 RHP 6 Learning Collaborative Carol Huber (carol.huber@uhs-sa.com) 8/5 PDSA Raise the Floor Webinar #3 8/13 Webinar - Care Transitions: Overuse of ED 8/20 Webinar - Behavioral Health: Integrative Medicine HHSC 8/27-28 Statewide Learning Collaborative txhealthcaretransformation@hhsc.state.tx.us 9/24 RHP 9 Biannual Learning Collaborative Event 9/25 RHP 2 Learning Collaborative 9/29 RHP 10 Learning Collaborative Event

Monitoring IGT July 2015 IGT Health Department $8,326.09 UMC $101,807.01 Emergence $16,544.27 Texas Tech $15,460.11

New Learning Collaborative on Behavioral Health Please Sign Up for Email Notifications if you are interested in learning more or joining Region 15’s new behavioral health learning collaborative. Meeting will commence after RHP Meeting New Learning Collaborative on Behavioral Health

Roundtable DSRIP Projects and Any Other Issues of Concern for Region 15 Healthcare Partnership

Contact Information Waiver Website & Email Address: http://www.hhsc.state.tx.us/1115-waiver.shtml TXHealthcare Transformation@hhsc.state.tx.us UMC Website: http://www.umcelpaso.org Region 15 - RHP Paso del Norte Blue Ribbon Committee Needs Assessment: http://www.elpasotexas.gov/health/_documents/BRCGapBook.pdf